Hip or knee replacement (inpatient stay)
Facility: Saint James Hospital
Billing Code: 470 (MS-DRG)
Highest price of the 9 IL hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.
A fair price for a Hip or knee replacement (inpatient stay) is about $15,722 (about 1.1× the $14,044 Medicare rate). Saint James Hospital charges insurers about $15,314 — about the fair price. Located in Pontiac, IL.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $15,314 | 109% |
| Blue Cross Blue Shieldmajor | $15,466 - $20,684 | 110% |
| Aetnamajor | $15,314 | 109% |
| Humanamajor | $15,162 | 108% |
| Meridian | $15,162 | 108% |
| Molina | $15,162 | 108% |
| WellCare | $15,314 | 109% |
| + 2 smaller / regional plans | $15,162 - $33,302 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Saint James Hospital
Compare: Hip or knee replacement (inpatient stay) at other IL hospitals
- Blessing Hospital · Quincy $12,226
- Alexian Brothers Medical Center 1 · Elk Grove Village $12,827
- St Alexius Medical Center · Hoffman Estates $13,048
- University of Illinois Hospital and Clinics · Chicago $13,087
- Crawford Memorial Hospital · Robinson $13,322
- Northwestern Medicine Delnor Community Hospital · Geneva $14,316
- Edward Hospital · Naperville $14,765
- Northwest Community Hospital 1 · Arlington Heights $14,777
Insurance negotiated median for the same procedure, sorted lowest first.